To provide a comprehensive approach to case management inclusive of all aspects of the patient's stay including but not limited to the following key functions: discharge planning and execution of the discharge plan; ensuring proper utilization management requirements of payers are met.

Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA),

Education: Bachelor's degree

Work Experience: Communication Skills, Ability to respond appropriately to customer/co-worker, Interaction with a wide variety of people

Maintain confidential information, Ability to communicate only the facts to recipients or to decline to reveal information, Ability to project a professional, friendly, helpful demeanor, Computer Skills: Basic computer knowledge: Uses word processing, spreadsheet, e-mail application, and web browser. Comfortable within a Windows OS and learning new applications.

Performs and executes discharge planning

• Develops sound and reliable discharge plans incorporating risk for readmission assessment in discharge needs and support structure
• Includes all stakeholders in the discharge plan to ensure plan is sound and fully communicated
• Participates in multidisciplinary rounding process as requested
• Works collaboratively with all caregivers in the continuum of care to ensure sound and timely discharge plan
• Demonstrates strong understanding and mastery of community resources
• Possesses strong discharge planning assessment skills
• Communicates well and frequent with patient and family
• Works collaboratively with nursing and other members of the care team, to ensure issues that Case Management identifies, are included in the plan of care
• Organizes and leads multidisciplinary care conferences as necessary to facilitate plan of care progression.
• Ability to identify barriers to transportation and assist with getting patient transportation to appointments
• Provide ongoing recovery support service to ensure patient arrives and is engaged by intake staff, and ensure that patient remains engaged in treatment overtime – helping the patient navigate stages of change and practical considerations.
• Work with insurance provided transportation programs to ensure transportation
• May be responsible for transporting patients to appointments

Ensures Patients receive comprehensive services: Assists the interdisciplinary treatment team in patient assessment for appropriateness of treatment services.

• Is knowledgeable and capable of working with patients who present a dual problem, Co-Occurring Substance Use and Mental Health Disorder.
• Provides that all patient contact and interaction is based upon inherent dignity, individuality, culture and beliefs of each patient. Patient care is provided in a compassionate, humane, and non-enabling manner.
• Participates in interdisciplinary clinical staffing or ensures pertinent information is provided to team
• Demonstrates Motivational Interviewing skills when working with patients.
• Demonstrates ongoing assessment for next level of care and actions to move patient to appropriate level
• Is knowledgeable in understanding of addiction, signs of overdose, and administration of naloxone products.
• Ability to educate patient and family in opiate use and administration of naloxone products.
• Ability to provide consultation with patient, family, insurance provider, and treatment providers to confirm recommended course of treatment is covered and/or affordable.

Assist in facilitation of services, based on quality initiatives and documentation in EMR.

• Ensures accurate documentation
• Collaborates with Certified Peer Recovery Specialist and Data Analyst to ensure documentation is present to supports warm hand off.
• Documents all Discharge Planning components accurately in EMR
• Assist with documentation in EMR to support quality initiatives
• Assist with audits for medical necessity documents as requested

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.